Surgical Outcomes of Subtotal Parathyroidectomy for Renal Hyperparathyroidism

Objectives@#. The aim of this study was to evaluate the effectiveness of subtotal parathyroidectomy for patients with renal hyperparathyroidism. @*Methods@#. We studied 25 patients with renal hyperparathyroidism who underwent subtotal parathyroidectomy from October 2002 to October 2017. We analyzed serum intact parathyroid hormone (iPTH), calcium, and inorganic phosphorus levels before and at multiple time points following surgery, and evaluated the surgical outcomes and complications. @*Results@#. Of the 25 patients, 13 (52%) were male and 12 (48%) were female, and the mean age was 53.4±9.3 years. The mean duration of dialysis before parathyroidectomy was 156.8±79.5 months. Mean preoperative serum iPTH and calcium levels were 1,199.0±571.3 pg/mL and 10.5±1.0 mg/dL, respectively. At 6 months postoperatively, the mean iPTH and calcium levels decreased to 49.2±47.6 pg/mL (P<0.01) and 8.0±1.0 mg/dL (P<0.01), respectively. Recurrent hyperparathyroidism occurred in two patients: one subsequently underwent kidney transplantation and the other continued hemodialysis and maintained normal calcium levels. One patient developed postoperative permanent hypoparathyroidism. @*Conclusion@#. Subtotal parathyroidectomy is a safe and effective surgical treatment for renal hyperparathyroidism.

A Case of Rosai-Dorfman Disease Presented with Neck Mass / 대한이비인후과학회지

Rosai-Dorfman disease, also known as the sinus histiocytosis with massive lymphadenopathy, is a rare and benign histioproliferative disease in which lymphadenopathy results from infiltration and dilatation of lymph node sinuses by large histiocytes. We experienced a case of a 59-year-old man, presenting bilateral cervical masses with pain since one month ago. Radiologically, there were multiple enlarged lymph nodes with homogenous contrast enhancement at both cervical areas. Excisional biopsy revealed that the tumor was consistent with the Rosai-Dorfman disease. The patient was treated successfully with corticosteroid. Herein, we report our experiences with literature reviews.

A Case of Rosai-Dorfman Disease Presented with Neck Mass / 대한이비인후과학회지

Rosai-Dorfman disease, also known as the sinus histiocytosis with massive lymphadenopathy, is a rare and benign histioproliferative disease in which lymphadenopathy results from infiltration and dilatation of lymph node sinuses by large histiocytes. We experienced a case of a 59-year-old man, presenting bilateral cervical masses with pain since one month ago. Radiologically, there were multiple enlarged lymph nodes with homogenous contrast enhancement at both cervical areas. Excisional biopsy revealed that the tumor was consistent with the Rosai-Dorfman disease. The patient was treated successfully with corticosteroid. Herein, we report our experiences with literature reviews.

A Case of Periorbital Necrotizing Fasciitis Occurred in Patient with Fungal Sinusitis / 대한이비인후과학회지

Orbital complications due to sinusitis usually occur in children and spread from the ethmoid or frontal sinusitis. Periorbital necrotizing fasciitis, which is an aggressive infection characterized by extensive necrosis and gas formation in the fascia and subcutaneous tissue, is uncommon as an orbital complication due to sinusitis. Because most of orbital complications of the fungal sinusitis occur from invasive fungal infection in immunocompromised patients, orbital complications due to non-invasive maxillary fungal ball in healthy patients are extremely rare, especially if the complication is periorbital necrotizing fasciitis. We report a case of periorbital necrotizing fasciitis that occurred in a healthy 44-year-old male patient with non-invasive fungal sinusitis, which was treated with a combination of intravenous antibiotics and endoscopic sinus surgery and ophthalmologic surgical treatment.

A Case of Periorbital Necrotizing Fasciitis Occurred in Patient with Fungal Sinusitis / 대한이비인후과학회지

Orbital complications due to sinusitis usually occur in children and spread from the ethmoid or frontal sinusitis. Periorbital necrotizing fasciitis, which is an aggressive infection characterized by extensive necrosis and gas formation in the fascia and subcutaneous tissue, is uncommon as an orbital complication due to sinusitis. Because most of orbital complications of the fungal sinusitis occur from invasive fungal infection in immunocompromised patients, orbital complications due to non-invasive maxillary fungal ball in healthy patients are extremely rare, especially if the complication is periorbital necrotizing fasciitis. We report a case of periorbital necrotizing fasciitis that occurred in a healthy 44-year-old male patient with non-invasive fungal sinusitis, which was treated with a combination of intravenous antibiotics and endoscopic sinus surgery and ophthalmologic surgical treatment.

Acoustic Outcomes After Laryngomicrosurgery for Reinke's Edema

BACKGROUND AND OBJECTIVES: The management of Reinke's edema includes usually medical treatment and voice therapy. Laryngomicrosurgery (LMS) is also necessary, especially to improve airway obstruction. However, voice outcome after LMS has not been determined well. The aim of this study was to evaluate effectiveness of LMS for Reinke's edema and analyze the voice outcomes after LMS. MATERIALS AND METHODS: Twenty-five patients with Reinke's edema who underwent LMS from September 2007 to December 2016 were enrolled in this study. We analyzed reflux finding score (RFS), reflux symptom index (RSI), and acoustic parameters before and after surgery. RESULTS: Male was 15 (60%) and female was 10 (40%), and mean age was 49.6 years. Preoperative mean value of RFS decreased significantly up to 3 months after LMS (18.3±2.2 and 10.0±2.2 at preoperative and 3 months postoperatively, respectively). The mean value of Jitter decreased significantly before and after surgery (2.71±2.81% and 1.06±1.21% before and after LMS, p=0.041). The mean value of Shimmer also decreased significantly before and after surgery (7.97±3.63% and 4.83±1.85%, respectively, p=0.006). CONCLUSION: LMS is effective in the treatment of Reinke's edema. It results in favorable acoustic outcomes and laryngoscopic findings in properly selected patients.